Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (13): 2289-2296.doi: 10.3969/j.issn.2095-4344.2013.13.002
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Yang Xing, Wang Zheng-fei, Xue Feng, Sheng Xiao-wen, Chen Bin-qian, Qian Yu-feng, Yu Xu-dong
Received:
2012-09-19
Revised:
2012-11-11
Online:
2013-03-26
Published:
2013-03-26
About author:
Yang Xing★, Master, Physician, the First People’s Hospital of Chanshu, Changshu 215500, Jiangsu Province, China
xinghong0518@yahoo.com.cn
CLC Number:
Yang Xing, Wang Zheng-fei, Xue Feng, Sheng Xiao-wen, Chen Bin-qian, Qian Yu-feng, Yu Xu-dong. Ceramic-on-ceramic total hip arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(13): 2289-2296.
2.3 影像学评估 置换后随访测量所有假体,X射线片显示髋臼外倾角平均为(43.8±2.4)°,前倾角平均为(16.5±3.4)°。7髋出现1度异位骨化但患者活动度无影响,患者亦无任何不适表现。所有病例未发现有髋关节脱位,假体固定失败,未见假体松动、下沉、移位及碎裂发生,假体周围无透亮线形成。髋臼侧及股骨侧均见骨长入假体。股骨侧和髋臼侧均未发生骨溶解现象。股骨侧假体在股骨髓腔内充填良好,其中14例股骨峡部有明显股骨皮质增粗;股骨近端均未出现明显骨质疏松。患者均恢复日常生活,其中17例仍继续参加网球等体育活动。 2.4 并发症发生情况 所有患者无关节异响的主诉,其中1例患者剧烈运动后出现髋臼陶瓷内衬(三明治陶瓷)破碎,予以翻修后好转,现患者恢复日常生活。 2.5 典型病例分析 典型病例1:患者女,40岁,因右髋疼痛活动受限10年入院,经术前常规检查,在硬膜外麻醉下行右侧全髋关节置换,假体采用Lima公司的三明治型陶瓷-陶瓷全髋关节,其中髋臼假体内层为BIOLOX forte陶瓷内衬,陶瓷头为28 mm BIOLOX forte陶瓷球头,股骨假体为F2L假体。人工全髋关节置换前后影像学资料见图1。"
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